DRILL 1.5X105MM 22MM STP J-NT
Report
- Report Number
- 0001032347-2025-00213
- Event Type
- Malfunction
- Date Received
- May 20, 2025
- Date of Event
- April 24, 2025
- Report Date
- October 10, 2025
- Manufacturer
- BIOMET MICROFIXATION
- Product Code
- HBE
- PMA / PMN Number
- K062842
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MY
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
COMPLAINT (B)(4). D10 ¿ MEDICAL PRODUCTS. ITEM# 01-9198, LOT# 66250040, DRILL 1.5X105MM 22MM STP J-NT. G2: FOREIGN SOURCE: MALAYSIA. H6: COMPONENT CODE: MECHANICAL (G04) ¿ DRILL. THE DEVICE WILL NOT BE RETURNED FOR ANALYSIS; HOWEVER, AN INVESTIGATION OF THE REPORTED EVENT IS IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETED, A SUPPLEMENTAL MEDWATCH 3500A WILL BE SUBMITTED.
THIS FOLLOW-UP REPORT IS BEING SUBMITTED TO RELAY ADDITIONAL INFORMATION AND/OR CORRECTED INFORMATION. UPDATED: B5, G3, H2, H3, H4, H6 AND H11. REPORTED EVENT WAS UNABLE TO BE CONFIRMED DUE TO LIMITED INFORMATION RECEIVED FROM THE CUSTOMER AND PRODUCT WAS NOT RETURNED. DHR WAS REVIEWED AND NO DISCREPANCIES RELATED TO THE REPORTED EVENT WERE FOUND. A DEFINITIVE ROOT CAUSE CANNOT BE DETERMINED. IF ANY FURTHER INFORMATION IS FOUND WHICH WOULD CHANGE OR ALTER ANY CONCLUSIONS OR INFORMATION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY. ZIMMER BIOMET WILL CONTINUE TO MONITOR FOR TRENDS.
IT IS REPORTED THAT DURING A PROCEDURE TO FIX A MANDIBLE RAMUS FRACTURE, THE SURGEON WAS DRILLING THE MANDIBLE BONE WHEN THE DRILL TIP FRACTURED. SUBSEQUENTLY, THE SURGEON USED ANOTHER TWIST DRILL, AND THE TIP ALSO FRACTURED WHILE DRILLING. THE DRILL BITS WERE REMOVED SUCCESSFULLY. THE PROCEDURE WAS COMPLETED USING A DIFFERENT INSTRUMENT.
NO FURTHER EVENT INFORMATION AVAILABLE AT THE TIME OF THIS REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2370120 | DRILL 1.5X105MM 22MM STP J-NT | DRILLS, BURRS, TREPHINES & ACCESSORIES (SIMPLE, POWERED) | HBE | BIOMET MICROFIXATION | 66250040 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |